{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:13:39Z","timestamp":1788178419639,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To clinically validate the nursing diagnosis \u201cInadequate Nutritional Intake\u201d based on elements identified within a specific situation theory framework in the context of children with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This is a diagnostic accuracy study following the Standards for Reporting Diagnostic Accuracy Studies (STARD) protocol. Specifically, it refers to the clinical validation phase of the nursing diagnosis Inadequate nutritional intake, using a cross-sectional design. The study was conducted in a tertiary pediatric hospital with a sample of 69 children diagnosed with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>A total of 11 clinical indicators demonstrated diagnostic accuracy above 50%, including: ascites, low weight-for-age \u22642 SD, cachexia, mid-upper arm circumference &lt; 10th percentile, fatigue, pale mucous membranes, dry mucosa, dry skin, weight loss greater than 5% within 1 month, compromised immune response, and delayed wound healing. The primary etiological factors identified in this study were chemotherapy, economic disadvantage, inadequate dietary pattern, insufficient dietary intake, rejection of hospital food, and family food culture. The nursing diagnosis had a prevalence of 7.25% among the participating children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the low prevalence, this study highlights that inadequate nutritional intake is a real and complex health issue in this population, with multiple etiological factors requiring a precise and systematic assessment for early identification by healthcare professionals, particularly nurses. This underscores the importance of research focused on refining nursing diagnoses in specific populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing practice<\/jats:title>\n                    <jats:p>Validation studies such as this enhance the accuracy and evidence-based nature of nursing practice, while also supporting collaborative decision-making for addressing nutritional issues in children with cancer, considering the various etiological factors involved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261450939","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:52:58Z","timestamp":1787579578000},"page":"274-282","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical validation of the nursing diagnosis of inadequate nutritional intake in children with cancer"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6790-6478","authenticated-orcid":false,"given":"Iane Ximenes","family":"Teixeira","sequence":"first","affiliation":[{"name":"Luciano Feij\u00e3o College, Sobral, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0924-3702","authenticated-orcid":false,"given":"Nat\u00e1lia Cabrera","family":"Matos","sequence":"additional","affiliation":[{"name":"Assis Chateaubriand Maternity School, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos Ven\u00edcios","family":"de Oliveira Lopes","sequence":"additional","affiliation":[{"name":"Federal University of Ceara, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8033-8831","authenticated-orcid":false,"given":"Viviane Martins","family":"da Silva","sequence":"additional","affiliation":[{"name":"Federal University of Ceara, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda Laryssa Gomes","family":"do Nascimento","sequence":"additional","affiliation":[{"name":"Cear\u00e1 School of Public Health, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0152-9216","authenticated-orcid":false,"given":"Yanka Alc\u00e2ntara","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Federal University of Ceara, Fortaleza, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5229-961X","authenticated-orcid":false,"given":"Ana Beatriz Oliveira Marques","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Luciano Feij\u00e3o College, Sobral, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4312-7322","authenticated-orcid":false,"given":"Daniele Paula Alves","family":"Mouta","sequence":"additional","affiliation":[{"name":"Luciano Feij\u00e3o College, Sobral, Cear\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu10121928"},{"issue":"3","key":"e_1_3_2_3_1","article-title":"The influence of nutrition on clinical outcomes in children with cancer","volume":"67","author":"Barr R. 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